Information Collection

Vocational Rehabilitation Financial Report (RSA-17)

IC 187873 under ICR 202304-1820-001 · OMB 1820-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RSA-17 Vocational Rehabilitation Financial Report (RSA-17)	Form
RSA-17 Vocational Rehabilitation Financial Report 1820-0017 RSA-17 Form-DCL-2023-06-29.docx	Form
RSA-17 Vocational Rehabilitation Financial Report 1820-0017 RSA-17 Form-DCL-2023-06-29.docx	Form

IC Title:

Vocational Rehabilitation Financial Report (RSA-17)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RSA-17	Vocational Rehabilitation Financial Report	1820-0017 RSA-17 Form-DCL-2023-06-29.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 78

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	312	312
Annual IC Time Burden (Hours)	10,193	10,193
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.